Regain rate 20% a few yrs out from RNY

Someone posted this interesting article on the Pregnancy board. I know lots of people come to the band forum to compare RNY vs. banding. I would also be interested to see the regain rate a few yrs out from banding. I'm glad that RNY regainers now have an option to maybe help them lose the weight again.

News Release

Date:   May 20, 2008

UC San Diego Medical Center Performs New Incision-free Procedure to Treat Weight Regain After Gastric Bypass

 

 

Every year more than 100,000 U.S. patients undergo gastric bypass surgery for the treatment of obesity. Experience now shows approximately 20 percent of these patients will regain weight within a few years after the surgery, due to the stretching of the stomach, and will be at renewed risk for diseases such as hypertension, diabetes, and cardiovascular disease. The Center for the Treatment of Obesity at UC San Diego Medical Center now offers a new incision-free procedure to reverse weight gain after gastric bypass surgery. 

“To date, procedures to revise gastric bypass surgeries have been expensive and difficult to perform, effectively leaving patients without any treatment options,” said Santiago Horgan, M.D., director of the UC San Diego Center for the Treatment of Obesity. “Now, with this procedure, we have a dramatically less invasive way to correct a key cause of weight regain.”

Horgan and Garth Jacobsen, M.D., performed California’s first such surgery on Wednesday, May 14, 2008.  The procedure, called “ROSE” (Restorative Obesity Surgery, Endolumenal), uses instruments inserted through the mouth to reduce the size of a patient’s stomach pouch and the opening to the small intestine to help patients achieve weight loss again.

To perform the scarless procedure, a small, flexible endoscope and surgical tools are inserted through the mouth and into the stomach pouch. The tools, developed by USGI Medical Inc., are used to grasp, fold and stitch tissue to reduce the diameter of the stomach opening and the volume of the stomach pouch. No cuts are made into the patient’s skin during the procedure.

By eliminating skin incisions, this minimally-invasive procedure offers important advantages to patients including reduced risk of infection, less post-operative pain, faster recovery time, and no abdominal scars.

Ideal candidates for the surgery are patients who were initially successful losing weight after their gastric bypass and now are regaining weight. After an initial screening, patients undergo a series of evaluations including nutritional and dietary counseling, a full medical exam, and endoscopy.

More than 15 million people in the United States suffer from severe obesity. Surgical treatment of obesity has increased significantly in recent years. Over 200,000 individuals in the United States undergo bariatric surgery each year, and it is estimated that over 125,000 patients today are candidates waiting for a revision procedure.

The Center for the Treatment of Obesity at UC San Diego Medical Center makes a long-term commitment to patients’ health and guides them from pre-surgery consultation and testing through surgery, recovery and continuing support. The program specializes in laparoscopic weight-loss surgery, including adjustable gastric lap banding and Roux-en-y Gastric Bypass. Here's the direct link: http://health.ucsd.edu/news/2008/5-20-gastric-bypass.htm

 

man oh man I love my band.

Well it's about time that RNY regain made the news.

My neighbor is planning to have this done.  She lost over 100 lbs real quick then got on some meds for another issue and promptly started packing it back on.  That's too much to go thru to gain it back. 

I know, I know. I think I would have been a regainer if I had had RNY because I love sweets and love to graze.

WOW THANKS FOR POSTING.  i have a cousin who had gastric by pass a few years ago and has started re gain the weight after 2 baies. her doc has recently put her on a 1000 cal diet . when i visited her after i was banded i notcied she was eating many of the worng foods again and drinking a lot of pop , perhaps if she can get her act together and start eating properly again shell lose the weight and also this might be an idea for her as well. ill be sending her this post, thank s again btw , how are u feeling?? and how is baby?? tara

Hi Tara! I'm feeling pretty good. Besides the fact that I've gained 6 pounds in the last 2 weeks! The scale just keeps climbing...it's getting depressing after trying to get it to go down for so long. I have a coworker in the same boat as your cousin. She lost 100 initially ( could stand to lose more though) and is now regaining.

must be hard to see it go up instead of down , as u say after all the hard work. but rememer this time u have a lil person inside u  and that , and the water weight of the sack it probly a good dealof the weight. and u will have the tool still there when u are ready to start seeing the scale go down again  i cant wait to see pics of this lil one tara

I think this is the same concept as Stomaphyx and if you look on the revision boards, it does not have a great following.  People tend to lose weight the first two months and then quickly start regaining again. So far all procedure types regain to some degree at some point, not just RNY folks.

So true. Any surgery can be sabotaged. Non are a magic cure for ever and ever.